Organization
THE OHIO STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L ELIAS DMD, PHD (ORTHODONTIC RESIDENT)
(614) 361-8966
Entity
Organization
Contact information
Practice address
305 W 12TH AVE, 4088, COLUMBUS, OH 43210-1267
(614) 292-5972
Mailing address
305 W 12TH AVE, 4088, COLUMBUS, OH 43210-1267
(614) 292-5972
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RES.3252
OH
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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